1. National Public Health Performance Standards Local Assessment Instrument Essential Service:6 Enforce Laws and Regulations that Protect Health and Ensure Safety

2. Essential Service Model Standard: Reviewing and Evaluating Laws, Regulations and Ordinances 6 Enforce Laws and Regulations that Protect Health and Ensure Safety 6.1

3. Model Standard: Awareness What has the local public health system identified that can best be addressed through laws, regulations, and ordinances? 6.1 Reviewing and Evaluating Laws, Regulations and Ordinances

4. Model Standard: Frequency Are the reviews conducted at least once every three to five years? 6.1 Reviewing and Evaluating Laws, Regulations and Ordinances

5. Model Standard: Quality and Comprehensiveness How do local public health system organizations stay up-to-date regarding federal, state and local laws; regulations; and ordinances that protect public health? Do governmental entities within the local public health system have access to legal counsel to assist with the review of laws, regulations, and ordinances related to the public’s health? 6.1 Reviewing and Evaluating Laws, Regulations and Ordinances

6. Model Standard: Usability How are laws, regulations, and ordinances that protect the public’s health reviewed by the local public health system to ensure appropriate compliance? 6.1 Reviewing and Evaluating Laws, Regulations and Ordinances

7. No Activity Minimal Moderate Significant Optimal 6.1.1 At what level does the local public health system identify public health issues that can be addressed through laws, regulations, and ordinances?

8. No Activity Minimal Moderate Significant Optimal 6.1.2 At what level does the local public health system stay up-to-date with current laws, regulations and ordinances that prevent health problems or that promote or protect public health on the federal, state, and local levels?

9. No Activity Minimal Moderate Significant Optimal 6.1.3 At what level does the local public health system review existing public health laws, regulations and ordinances at least once every three to five years?

10. No Activity Minimal Moderate Significant Optimal 6.1.4 At what level does the local public health system have access to legal counsel for technical assistance when reviewing laws, regulations, or ordinances?

11. Essential Service Model Standard: Involvement in Improving Laws, Regulations and Ordinances 6 Enforce Laws and Regulations that Protect Health and Ensure Safety 6.2

12. Model Standard: Awareness What examples are there of identified local public health issues that are not adequately addressed through existing laws, regulations, and ordinances? 6.2 Involvement in Improving Laws, Regulations and Ordinances

13. Model Standard: Involvement How have local public health system organizations provided technical guidance or support to legislative, regulatory or advocacy groups drafting proposed legislation, regulations, or ordinances? 6.2 Involvement in Improving Laws, Regulations and Ordinances

14. Model Standard: Frequency How have local public health system organizations participated in developing or modifying laws regulations or ordinances for those public health issues in the past three to five years? 6.2 Involvement in Improving Laws, Regulations and Ordinances

15. No Activity Minimal Moderate Significant Optimal 6.2.1 At what level does the local public health system identify local public health issues that are inadequately addressed in existing laws, regulations, and ordinances?

16. No Activity Minimal Moderate Significant Optimal 6.2.2 At what level does the local public health system participate in changing existing laws, regulations, and ordinances, and/or creating new laws, regulations, and ordinances to protect and promote public health?

17. No Activity Minimal Moderate Significant Optimal 6.2.3 At what level does the local public health system provide technical assistance in drafting the language for proposed changes or new laws, regulations, and ordinances?

18. Essential Service Model Standard: Enforcing Laws, Regulations and Ordinances 6 Enforce Laws and Regulations that Protect Health and Ensure Safety 6.3

19. Model Standard: Awareness What authority does the local health department (i.e., governmental public health entity) within the local public health system have to enforce laws, regulations, or ordinances related to the public’s health? How are the roles and responsibilities related to the authority documented? 6.3 Enforcing Laws, Regulations and Ordinances

20. Model Standard: Involvement Does the local public health system provide information to the individuals and organizations that are required to comply with certain laws, regulations, or ordinances? 6.3 Enforcing Laws, Regulations and Ordinances

21. Model Standard: Frequency How often does the local public health system assess the compliance of institutions and businesses with laws, regulations, and ordinances? 6.3 Enforcing Laws, Regulations and Ordinances

22. Model Standard: Quality and Comprehensiveness How are those responsible for enforcement activities trained on compliance and enforcement? How is the local health department empowered through laws and regulations to implement necessary community interventions in the event of a public health emergency? How does the local public health system ensure that all enforcement activities are conducted in accordance with laws, regulations, and ordinances? How has the local public health system assessed the compliance of institutions and businesses in the community (e.g., schools, food establishments, day care facilities) with laws, regulations, and ordinances designed to promote and protect public health? What information is gathered? 6.3 Enforcing Laws, Regulations and Ordinances

23. Model Standard: Usability Is dissemination of information on public health laws, regulations, and ordinances integrated with other public health activities (e.g., health education, communicable disease control, health assessment, planning)? 6.3 Enforcing Laws, Regulations and Ordinances

24. No Activity Minimal Moderate Significant Optimal 6.3.1 At what level does the local public health system identify organizations that have the authority to enforce public health laws, regulations, and ordinances?

25. No Activity Minimal Moderate Significant Optimal 6.3.2 At what level does the local public health system ensure that a local health department (or other government public health entity) has the authority to act in public health emergencies?

26. No Activity Minimal Moderate Significant Optimal 6.3.3 At what level does the local public health system ensure that all enforcement activities related to public health codes are done within the law?

27. No Activity Minimal Moderate Significant Optimal 6.3.4 At what level does the local public health system educate individuals and organizations about relevant laws, regulations, and ordinances?

28. No Activity Minimal Moderate Significant Optimal 6.3.5 At what level does the local public health system evaluate how well local organizations comply with public health laws?